NPIMap

Organization Active NPI

Heritage Valley Medical Group, Inc.

Doing business as HVMG Family Practice Associates Sewickley

  • Family Medicine Physician
  • Sewickley, PA
National Provider Identifier
1578715157
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Doing business as
HVMG Family Practice Associates Sewickley
Practice address
525 Locust PL
Sewickley, PA 15143-1503
Phone
(412) 741-4044
Fax
(412) 741-6820
NPI assigned
Oct 15, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norman F. Mitry
Title
President & Ceo
Phone
(724) 773-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

525 Locust PL
Sewickley, PA 15143-1503

Mailing address

525 Locust PL
Sewickley, PA 15143-1503
Phone (412) 741-4044

Other identifiers 2

IdentifierTypeStateIssuer
2297465MedicaidOH
0014950830029MedicaidPA

Other names 1

  • HVMG Family Practice Associates Sewickley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri-State Medical Group Inc92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1578715157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LOCUST PL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431503",
            "telephone_number": "412-741-4044",
            "fax_number": "412-741-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LOCUST PL",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431503",
            "telephone_number": "412-741-4044",
            "fax_number": "412-741-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297465",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014950830029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Family Practice Associates Sewickley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.